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Early retirement due to ill health: your options explained

Here’s what you need to know if you are considering withdrawing from a pension early due to long-term or terminal illness.
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Accessing your pension early due to ill health is a step many don’t anticipate needing to take. However, for individuals facing serious or terminal medical diagnoses, it can offer essential financial help.

Whether you’re navigating this process for yourself or researching on behalf of a loved one, understanding the rules, processes, and implications can help you make informed decisions about your pension fund. In this guide, we’ll walk you through:

  • The options for accessing your pension early if you find yourself facing serious ill health or a terminal illness.
  • The criteria for eligibility.
  • Key considerations, including scams to be aware of.

This article focuses on workplace and personal pensions, and is general information, not tailored financial advice. Contact your existing pension provider directly to ask them about your options and their policies.

Jump straight to:

What qualifies as ill health for early pension access

Although it isn’t a decision to take lightly (keep in mind during this read that there are both advantages and disadvantages to withdrawing from your pension early due to a serious health condition), you may be eligible to access your workplace or personal pension early.

Here’s what qualifies for both workplace and personal pensions:

  1. Early retirement for those experiencing ill health: Those unable to work due to a permanent condition (mental or physical), but without a specific life expectancy requirement.
  2. Accessing a pension for those facing a terminal illness (also known as ‘serious ill health’): Those with a life expectancy of less than 12 months, often with more favourable tax treatment and faster processing times.

It’s worth noting that qualifying for early ill health payments will be provider-dependent, as not all providers offer both types, and they set the criteria for early access in ill health. To see whether you qualify, reach out to your provider to find out what circumstance and evidence is needed.

Can I claim State Pension early due to ill health?

No, the State Pension cannot be accessed earlier than your State Pension age, even in cases of serious or terminal illness. You can check your State Pension age using the government’s State Pension calculator.

However, there may be alternative benefits available depending on your circumstances.

Defined benefit pensions vs defined contribution pensions

Defined benefit (DB) pensions Defined contribution (DC) pensions
Overview These are workplace pensions that can also be called ‘final salary’ or ‘career average’ pensions. They promise a set income based on your salary and years of service, and are more often used for public services like the NHS or Fire Service pensions. These can be workplace or personal pensions; your pension pot is invested, and the value depends on contributions and investment performance.
Early access rules

You may still receive the full amount, but some schemes reduce payments for early withdrawal.

It’s best to check with your pension provider to find out what their policy is.

Your pot would usually be accessible as it would if you’d reached retirement age, but taking it early could reduce how long the money will last you, or mean you might get less than you expected.

You can see how much your pension is currently worth by logging in to your pension provider’s online account, or asking them directly. Remember, every provider will have their own specifications in terms of qualifying criteria in the case of ill health.
Flexibility

Less flexible: defined benefit pensions are often paid as a guaranteed income for life.

If a scheme pension is paid early on the grounds of ill-health, but the person recovers from their illness — in some cases, the early pension may be stopped or reduced.

More flexible: defined contribution pensions can usually be taken as a lump sum, income, or a combination of both.
Lump sums for those facing a terminal illness

You may be able to take your full pension as a tax-free lump sum if you’re under 75 and you haven’t previously taken benefits (subject to the ‘lump sum and death benefits allowance’).

For those over 75, taking a lump sum would be taxed as income.

Your pension provider would need to confirm what benefits can be paid out as a lump sum. 

You may be able to take your full pension as a lump sum tax-free if under 75 and you haven’t previously taken benefits (subject to the ‘lump sum and death benefits allowance’).

For those over 75, taking a lump sum would be taxed as income.

Lump sums for those facing ill health

A scheme pension may be more likely than a lump sum.

Speak to your defined benefit pension provider to see whether this is possible as ill-health payments can be very complex and will depend on the scheme rules.

In limited circumstances, a lump sum can be taken (of which up to 25% can usually be taken tax-free, with the remaining 75% still being taxable).

  • If the total value of all your workplace and personal pension savings (not State Pension) is less than £30,000 — such payments are made under ‘trivial commutation’ rules.
  • Your defined benefit pension is under the value of £10,000 (no matter how much your other pension savings are) — such payments are made under ‘small pots’ rules.
The above payments apply equally to ill-health as well as serious ill-health, providing the relevant criteria are met.

Speak to your defined contribution pension provider to see whether this is possible, as ill-health payments can be very complex and will depend on the scheme rules.

Typically, if allowed under the scheme rules, up to 25% of the pot can be taken tax-free, with the remaining 75% taxed.

Similar to defined benefit schemes, it is also possible to take lump sum payments under ‘small pots’ rules where the value of the scheme is £10,000 or less.

Note: payments of this type can only be made up to 3 times for personal pension arrangements, whereas for occupational schemes, there is no limit.

Ill-health early retirement

Eligibility Criteria

The general eligibility for ‘ill-health’ early retirement would be:

  • You must be unable to work due to a permanent mental or physical condition.
  • There is no requirement to have a specific life expectancy.

(Please note, this is as accepted by HMRC, though this may vary in specific criteria between providers)

Medical Evidence

Your pension provider will require medical evidence, such as a doctor’s certificate or medical report, confirming the permanence of your condition and its impact on your ability to work.

Tax Treatment

  • Usually, the first 25% of your pension pot would be tax-free.
  • The remaining amount is taxed at the relevant income tax rate.

Application Process

  • Contact your pension provider to start the process.
  • Submit the required medical evidence and any forms provided by your scheme; they should then be able to give you a timeline of what to expect next.

Terminal illness and pension access

For those with a life expectancy of less than 12 months, the process for accessing pensions is often more streamlined.

Eligibility Criteria/medical evidence

Medical certification of the terminal diagnosis (confirming a life expectancy of under 12 months).

Tax Treatment

In some cases, your entire pension pot can be taken as a tax-free lump sum. Check with your provider about this.

Application Process

Many pension providers prioritise terminal illness applications for quicker access to funds, meaning faster processing times for you.

Dependants’ Benefits

While you’re looking into your policy, you can take the opportunity to check any benefits for your spouse, civil partner, or children are protected under your scheme’s rules.

Finding out how much your ill-health pension would be

The amount you’ll receive depends on:

  • The type of pension you have (defined benefit vs defined contribution).
  • The rules of your pension scheme.
  • Your life expectancy (for terminal illness claims).

Contact your pension provider directly to get a clear view of your ill-health retirement benefits.

Considerations

Beware of pension scams

Be careful during this turbulent time, as your pension could be at risk of scammers. Some red flags and things to be mindful of are:

  • Watching out for cold calls — it’s unlikely a genuine pension provider would be contacting you in this way.
  • Being alert to offers that sound too good to be true.
  • Checking that you’re using a firm regulated by the Financial Conduct Authority (FCA).
  • Always stay alert, as it’s unlikely your pension provider will give you direct financial advice about transferring/withdrawing your pension, so be aware of anyone who tries to force or pressure you into making a quick decision. So, be cautious of scammers posing as your provider/anyone else who is trying to encourage you to do this.
  • If you find yourself in debt and feel you need to access your pension to pay this off, MoneyHelper’s debt advice tool can help you find free, trusted debt advice (don’t let scammers take advantage of your situation): www.moneyhelper.org.uk/en/money-troubles/dealing-with-debt/debt-advice-locator
  • Vigilance is key. You can report any suspected scams to Action Fraud: www.actionfraud.police.uk/

The tax implications

  • Usually only 25% of your pension pot can be taken tax-free, unless your condition is a terminal illness and you’re under 75, in which case the whole amount could be tax-free (up to the ‘lump sum and death benefit allowance’). Check with your pension provider to confirm.
  • Otherwise, the remaining 75% is taxed as income at the relevant income tax rate.
  • Emergency tax may apply, initially.
  • It’s also important to note that early pension withdrawals could affect your entitlement to means-tested benefits.

Other options to explore

  • For those with a long-term illness, staying in your job I if it’s something you’re able to do might also mean you can continue saving into your pension, meaning you should have more money when you do retire. So, you may be able to explore adjusting your work arrangements (e.g. reducing your hours, asking for specialised equipment to support you, or switching to remote work, if at all possible).
  • If you already have a policy in place, consider claiming critical illness or income protection insurance.
  • Potentially releasing equity in your property.
  • Seek advice on State Benefits (e.g. Personal Independence Payment (PIP), Employment and Support Allowance (ESA), or Attendance Allowance).
  • You can also look for guidance or independent financial advice from a regulated financial adviser. For more guidance on this, check out Money Helper’s guide on ill-health retirement.

Planning ahead: making your pension easier to manage and access

To ensure a smoother process if you ever need to access your pension early:

  • Know where your pensions are:
    Use the government’s Pension Tracing Service to locate any old or lost pensions: www.gov.uk/find-pension-contact-details
  • Think about consolidating those pensions:
    Combining pensions into one pot, such as a Self-Invested Personal Pension (SIPP) from Wealthify, could simplify management and access, and potentially reduce fees (for example, if the charges you are paying with your current provider are higher).
  • Update your beneficiary nominations: You can help ensure your loved ones are listed as beneficiaries.
  • Keep your loved ones informed: Further to the point above, you could let your family members (or who you expect to be the executor of your estate) know where pension documents are stored. It may be helpful to keep this with your Last Will and Testament, and your Letter of Wishes if you have one of those, too.

Accessing your pension early due to ill health is a significant decision, but for those facing challenging circumstances, it can provide much-needed financial support.

By understanding your options, eligibility criteria, and the implications involved, you can make an informed choice that best suits your needs.

If you’re considering early retirement due to ill health, start by contacting your pension provider for guidance tailored to your specific scheme, as well as considering speaking to an independent financial adviser who has expertise in pensions.

Disclaimer: This article is for informational purposes only and does not constitute financial advice. We would recommend you consult with a regulated financial adviser or your pension provider before making decisions about your pension.

Your tax treatment will depend on your individual circumstances, and it may be subject to change in the future.

With investing, your capital is at risk, so the value of your investments can go down as well as up, which means you could get back less than you initially invested.

Wealthify does not provide advice. If you’re not sure whether investing is right for you, please speak to a financial adviser.

Resources:

www.gov.uk/benefits-end-of-life

www.moneyhelper.org.uk/en/pensions-and-retirement/taking-your-pension/early-retirement-because-of-illness-sickness-or-disability

www.moneyhelper.org.uk/en/pensions-and-retirement/pensions-basics

www.moneyhelper.org.uk/en/benefits/benefits-calculator

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